Organization
WEST TEXAS GENERAL & VASCULAR SURGERY PLLC
Active
Other names
Vascular 360
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHRAUM DANIEL DANESHFAR MD (CEO)
(469) 277-0059
Entity
Organization
Contact information
Practice address
425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
(469) 277-0059
(844) 301-7112
Mailing address
425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
(469) 277-0059
(844) 301-7112
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/28/2025
Last updated
04/27/2026
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